Cross-cultural adaptation and validation of a simplified Chinese version of the patient experience with treatment and self-management scale
10.3760/cma.j.cn114798-20240513-00449
- VernacularTitle:简版患者治疗体验和自我管理量表的汉化及其在2型糖尿病患者中的信效度检验
- Author:
Jierui LIN
1
;
Kai LIN
;
Zhijie XU
;
Lihong GUO
;
Chuan ZOU
Author Information
1. 汕头大学医学院第一附属医院全科医学分院全科医学科，汕头515041
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Scale;
Treatment burden;
Community Health Center;
Reliability;
Validity
- From:
Chinese Journal of General Practitioners
2025;24(2):162-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to simplify the Brief Patient Experience with Treatment and Self-Management (Brief PETS) by creating a Chinese version of the Brief PETS and evaluating its reliability and validity in a population of individuals with type 2 diabetes mellitus (T2DM).Methods:Following Mapi guidelines, the simplified Chinese version of the PETS scale was translated and culturally adapted. Simplified Chinese version of PETS and the Chinese version of the Treatment Burden Questionnaire (TBQ) were administered to T2DM patients recruited from community health centers in four regions of China between June and August 2022 by cluster sampling. Validity was assessed using content, construct, criterion-related, and discriminant validity, while reliability was evaluated using internal consistency and split-half reliability.Results:The Chinese short version of the PETS consists of 11 dimensions and 32 items, namely, medical information, medication, medical appointments, health management, medication side effects, diet, exercise, medical expenses, health care system, social roles, and physical and mental exhaustion. A total of 311 questionnaires were initially collected, with 289 valid responses finally analyzed after excluding ineligible surveys. The Cronbach′s α coefficient and the split-half reliability coefficient were 0.914 and 0.818 respectively. The content validity index (CVI) was 0.60-1.00, and S-CVI/Ave=0.84. Criterion validity showed that the total score of the Chinese simplified version of PETS was significantly correlated with the total score of TBQ ( r=0.804, P<0.01); discriminant validity was good ( P<0.01); nine male factors were extracted by exploratory factor analysis, which explained a total of 75.28% of the total variance, and each of the nine factors fitted different themes in the existing conceptual framework of the burden of care for T2DM with good construct validity. Conclusion:The Chinese version of the PETS scale demonstrates good reliability and validity, and can comprehensively explain the treatment burden of T2DM patients in primary healthcare settings in China.
